Fillable TRIO APPLICATION 2019-20 LATEST DRAFT (University of Montana)

Fill Online, Printable, Fillable, Blank TRIO APPLICATION 2019-20 LATEST DRAFT (University of Montana) Form

Use Fill to complete blank online UNIVERSITY OF MONTANA pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

TRIO APPLICATION 2019-20 LATEST DRAFT (University of Montana)

On average this form takes 20 minutes to complete

The TRIO APPLICATION 2019-20 LATEST DRAFT (University of Montana) form is 4 pages long and contains:

  • 0 signatures
  • 72 check-boxes
  • 48 other fields

Country of origin: US
File type: PDF

U.S.A. forms for University of Montana

BROWSE UNIVERSITY OF MONTANA FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Application & Eligibility
TRIO Student Support Services
Lommasson Center 180
Full, Legal Name:________________________________________________SSN:_______________________________
Date: Griz Card ID #: 790 Net ID:
Local Address: City: Zip: Phone:
Permanent Address: City: Zip: Phone:
(home town)
Email Address: Gender: Preferred Pronouns:
U.S. Citizenship: ! Citizen ! Permanent Resident Birthplace: Birthdate:
(Green Card)
Enrollment Information: Have%you%par+cipated%in%the%EOP%or%TRIO%UMontana%program?%What%year?
This is my first semester at UM: ! Yes ! No I plan to complete a 4-year degree: ! Yes ! No
I am enrolled in 6+ credits: ! Yes ! No I have completed a 4-year degree: ! Yes ! No
I have attended college before: ! Yes ! No I am enrolled at Missoula College: ! Yes ! No
My Current Major is: _______________________________________________________________________________
Parent / Guardian Information:
Have any of your parents or legal guardians completed a four-year degree? ! Yes ! No
Disability Information:
Do you have a documented disability (physical, learning, psychological, or other)? ! Yes ! No
Are you currently registered with UM’s Disability Services for Students? ! Yes ! No
Are you currently working with Vocational Rehab or Veterans Affairs? ! Yes ! No
Would you like assistance to accommodate a disability?* ! Yes ! No
*If yes, please contact Disability Services for Students in Lommasson 154 / phone: 406-243-2243.*
Financial Information
On 2019 income taxes, I (the student) was:
□ Dependent (I am included on my parents’ taxes) □ Independent (I cannot be claimed on someone else’s taxes)
□Pell Grant
□Work-Study
□Perkins Loan
□Fee waiver
□Stafford Loan
□BIA/Higher Ed
□Voc. Rehab.
□Veterans’ Ben.
□SEOG
□Other: _________________________
Please check all areas that you would like to improve:
Personal Assistance:
□Goals/decision making
□Personal counseling
□
Drug/alcohol counseling
□Coping with stress
□Child care information
□Health issues
□Disabilities accommodation
Study Skills:
□Time management & organization
□Test taking/preparation
□Reading speed & comprehension
□
Essay and research writing
□Proofreading
□Note taking
□Coping w/ test or math anxiety
Career planning:
□Career interest testing
□Choosing a major
□Resume design
□
Interviewing
□Internships
□Job search
□Career information
Computer Skills:
□
Using software (Word)
□Using Moodle for classes
□Using the internet & e-mail
□Keyboarding
□Computer access
Financial Aid & Financial Literacy:
□Filling out FAFSA
□Grants / loans counseling
□Scholarship information
□
Personal budgeting
□Understanding credit
Academic Support:
□Tutoring
□Graduate school advising
□Planning for graduation
□Academic advising
□Improve math skills
□Improve GPA
□Other: __________________
Self-Assessment
TRIO Student Support Services
Please check any of the following that apply to you:
□I’ve been out of school for more than 5 years
□I’m on academic probation or suspension
□I commute 20 miles or more a day
□I have a history of withdrawals and/or incompletes
□My personal decisions interfere w/ education/career choices
□I am repeating a course to achieve a grade for graduation
□Afraid of failing in college
□Afraid I may not fit in at UM
□My family does not understand college demands
□Easily distracted
□I am Asian
□I am African American
□I am White
□I am of Hispanic or Latino ethnicity
□I am American Indian or Alaska Native
□I am Native Hawaiian or other Pacific Islander
□Other (specify): __________________________________
□I’m a single parent without a support system
□I don’t have a place to live
□
I am aging out of foster care
□My high school class had less than 100 students
□I have participated in another TRiO program (SSS, UB, TS, EOC, Gear Up)
□I earned a GED
□I am a Veteran
TRIO helps students succeed!
Please write a brief reflection about your background, educational goals,
academic strengths/weaknesses, or any other matter you feel will help us
understand how TRIO SSS can support you.
__________________________________________________________________________________________
Release of Information
I certify that the information on this application, self-assessment, and release is accurate and complete to the
best of my knowledge. I understand that The Department of Education requires social security number
reporting as a condition for TRIO participation, and that my social security number will remain private and
confidential. I hereby authorize TRIO Student Support Services to obtain any information from my educational
record that may be pertinent to my participation in the program, including information from Financial Aid,
Admissions, the Registrar, Disability Services, UM employees, and the National Student Clearing House.
Student Name (printed): __________________________________________________________
__________________________________ _____________________
Student Signature Date
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

TRIO APPLICATION 2019-20 LATEST DRAFT (University of Montana)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 29 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document